Cerritos College
Request for Revision of Financial Aid Educational Plan
Student Name: _____________________________________ Student #: ________________
Phone: ___________________________ E-mail: ___________________________________
Educational Goal: AA/AS AA/AS & Transfer Transfer - BA/BS Certificate
Transfer Institution: ____________________________ Transfer Semester: _____________
Academic Plan (Major): _____________________________________
Do you have an Associate degree?
Yes No Do you have a Bachelors’ degree? Yes No
Please indicate the reason(s) for requesting a revision to your Financial Aid Educational Plan:
Change of Academic Plan (Major)
Change of Educational Goal (Certificate, Associate, Transfer)
Add New Transfer Institution
Add Courses not listed on original Financial Aid Educational Plan
List courses: ____________________________________________________________
Courses must be required as part of your academic plan (major) and educational goal
Replace a specific course with another course or an area of Plan A, B, or C
Replace: ____________ with ____________ Replace: ____________with ___________
Replace: ____________ with ____________ Replace: ____________with ____________
Other ____________________________________________________________
Please explain to the committee the reason for your request and any factors we should consider:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Student Signature: _____________________________________ Date: ________________
Submit this form to the Financial Aid Office.
Office Use ONLY
Pell %: _______
# of Previous Revisions: _______
6/20/12